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General NPI Number Information
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NPI Number | 1689507469
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Entity Type | Individual
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Provider Name | MEGAN CUELLAR DDS
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Gender | Female
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Dates
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Enumeration Date | 06/03/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 520 N 12TH ST
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City | RICHMOND
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State | VA
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Zip | 23298-5064
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Country | US
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Telephone | 804-828-9190
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Fax |
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Provider Business Mailing Address
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Address Line | 1965 LEMONWOOD RD
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City | CHESAPEAKE
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State | VA
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Zip | 23323-5327
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Country | US
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Telephone | 757-287-5604
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401420073
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License Number State | VA
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